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In order for us to respond to your request, please include your name, e-mail address and phone number when you contact us.

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Please provide us with a general description of your potential claim, as well as alternate contact methods (phone numbers, e-mail, etc.), if applicable:

By filling out this form, Jackson Law International will be sent an e-mail with the information that you enter. Please be advised that due to the fact that this communication is being sent via the Internet, there is always the possibility that the information might not be received by Jackson Law International. Importantly, the completion and submission of the following form is not intended to create, nor does it constitute, an attorney-client relationship, between the individual who has submitted the information and Jackson Law International. Such a legal relationship can only be created and/or constituted through execution of this firm’s Legal Representation Agreement, requiring both a signature from the prospective client and an authorized member of this firm. The firm recommends that you not forward any confidential information in this form and that no such confidential information be communicated until a conflict of interest verification has been undertaken by the firm to ensure that the firm would have no conflict in representing your interests. Instead, simply provide us with the names of the potential parties and a general description of the matter.